NickB

Now that I do not disagree with. I feel like there should be more of a minimum requirement for NP school due to the limited hours in our clinical rotation. I do like that I did all of my 600 clinical hours in inpatient pediatrics which is probably more than a PA did in peds for their training.

I'll bet that there are hardly any PA's that were previously a flight nurse. And I use that example because that role is the most autonomous in the nurse profession. PAs have a miniscule amount of required medical experience prior to entering their two year PA program. That's why their clinical requirement is so much longer than NPs.

Sure thing. Just as soon as a PA student spends 6 years as a flight nurse before beginning school like I did. Let's also not forget the small detail that PAs spend two years learning about all patient populations while NPs (except for FNPs) spend two years learning about a specific population.

Not questioning running a code. I'm questioning stopping a code.

Thank you for your post. I just searched the bills referred to in the word document you attached and they both show that these bills were withdrawn. Where did you gather this information from? Do you have an internet link? Thanks again.

I am graduating in three weeks from an AC-PNP program and curiosity has gotten the best of me. I plan to work in a Peds ED and I'm curious if anyone can provide me with some info. I am curious if there is any state law pertaining to a nurse practitioner stopping life sustaining efforts in a code situation. I will be practicing in Florida and have not been able to find any definitive information on this topic. I have been a neo/peds flight nurse for the last 5 years and I have made the decision to stop efforts on a neonate, but I have called a physician into the room to agree with me before we stop and they have officially been the one to call it. Will this be the same if I am running a code as an NP? Thanks in advance.

Here, this is the quote that my original response was for. I think you and I are making the same argument. "Completely true, but in some instances you can't maintain an airway without the intubation. It's a slippery slope, but we need a middle ground" My response to this is if they find themselves in the situation, they have a middle ground and that would be an LMA.

I think you misunderstood my first posts. I was responding to someone at the beginning of the thread questioning why they didn't have a middle ground available, regarding some nurses being able to intubated instead of no nurses ever being able to intubate. My point wasn't that nurses should be trained in intubation, my point was that if they find themselves in a situation where a nurse would need to intubate with no one trained, their middle ground is something like an LMA. I've been trained to intubate but would always defer to my RT.

That's funny that you make the points you do. My RRT and I arrived to an outlying facility last Friday and walked in on an extreme Pierre Robin term baby who had an LMA inserted. This was after two RTTs and an anesthesiologist tried multiple times. We have these devices for a reason. They are a middle ground for pt's who cannot be intubated. This pt would not have survived without an LMA. And let's not forget that highly trained personnel are not always "around". On a side note, my RT intubated this pt on his first attempt. But he has been an RT for 25 years, 15 of them in nicu and I also sedated this pt prior to his attempt. He said it was one if his top 5 most difficult intubations. Middle ground airways have there place in healthcare.

You have a middle ground. It's called an LMA.

80 bed nicu. We have a picc team consisting of day and night nurses. Some staff and some transport. We place all lines and manage all dressings.

I think you'll be hard pressed to find any NICU nurse who doesn't find that pt interesting.

Funny. I was just having this conversation with a new grad in our unit yesterday. I used to old term persistent fetal circulation to help her understand it. That seemed to help a lot. PPHN is most often caused by three disease processes: Meconium Aspiration, Congenital Heart Defect, and Diaphragmatic Hernia.

Stand by for just one second. I am a NICU nurse and a parent and I find this post not only very interesting but also very helpful. We are fully aware that they are babies as we work with them at least 3 days a week. I have already learned of 3 different diseases I have never seen or heard of just by reading this post and I work in an 80 bed level 3 NICU and I am on the transport team. The original post is the whole point of this website.

There is absolutely nothing wrong with how you felt. I often go home for a long stretch and will call the unit to check on a critical patient that I was taking care of. I think the key is that you never ever make anything about you. We are human and we work with children who sometimes die and it is sad. There is nothing wrong with being sad. Heck, we celebrate with the family when patients who have been with us defy all odds and finally go home after months of being in the hospital. Is it wrong to be happy for them and show our happiness?